Support Kansas

Increase my Sustaining contribution

Ongoing monthly contribution

Charge on my credit card monthly payments until instructed to stop
Monthly gift via my bank account (using EFT) - the best way to give!

If you are currently giving monthly via your checking account (using EFT), all we need to increase your monthly donation is an email requesting the increase, sent tomembership@kansaspublicradio.org. If you'd like to change your account, you may fill in this form, and it will replace your existing information.

My Contribution

Increase my monthly contribution to:

$ 120.00
$ 180.00
$ 240.00
$ 360.00
$ 600.00
$ 840.00
$ 1,200.00
Other Amount

Please specify amount:

What is your contact information?

First and Last Name

Address

City

State/Prov

Zip/Postal

Email Address

Phone Number	Type

Would you like a thank-you gift?

When you donate $15 per month or more, you qualify.

Selected Premiums
Premium	Amount	Remove	View	Info	TrueAmt

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

Recipient Information

Recipient First Name(s)

Recipient Last Name

Same as donor

ResidenceBusiness

Address Line 1

Address Line 2 (Apt, Floor, Suite, etc.)

City

State/Prov

Zip/Postal

Recipient Telephone

Extension

Recipient Email

Delivery Date

Message

Remaining Characters: 120120

When you pledge $120 or more annually, you qualify for the KPR MemberCard. Would you like to receive one?

YesNo

If time allows, may we read your name on the air to thank you?

YesNo

Special instructions or questions about your contribution or membership.

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Change Number of Months